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5.
Ann Thorac Surg ; 110(1): e1-e4, 2020 07.
Article in English | MEDLINE | ID: mdl-31981501

ABSTRACT

A giant coronary artery aneurysm is an infrequent anomaly encountered as an incidental finding. An even more rare condition is its association with a coronary artery fistula. We report the case of a 61-year-old woman that combines two of the rarest coronary anomalies: a 70-mm giant circumflex aneurysm with an arteriovenous fistula tract draining to the superior vena cava. Considering the unique display of anatomy, the surgery was guided with 3-dimensional printing technology. Direct fistula occlusion near its outflow union, orifice source closure, aneurysmal sac exclusion, and two coronary artery bypass grafts were surgically performed. The postoperative course was satisfactory.


Subject(s)
Arteriovenous Fistula/surgery , Coronary Aneurysm/surgery , Coronary Vessel Anomalies/surgery , Printing, Three-Dimensional , Vascular Surgical Procedures/methods , Vena Cava, Superior/abnormalities , Arteriovenous Fistula/diagnosis , Coronary Aneurysm/diagnosis , Coronary Angiography , Coronary Vessel Anomalies/diagnosis , Female , Humans , Middle Aged , Tomography, X-Ray Computed , Vena Cava, Superior/diagnostic imaging
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